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HPI
A 23-year-old male collegiate soccer player presents to the clinic one day after he fell on his left wrist. He noticed immediate pain in the wrist with radiation into the thumb, index, and long finger. There is associated numbness and tingling in the median nerve distribution. The patient had not sought medical attention prior to his presentation to the clinic.
PMH
None
PE
A focused physical exam is significant for diffuse swelling at the wrist with a poor tolerance for range of motion due to pain. Diffuse tenderness over the dorsal and volar radiocarpal joint. There is diminished 2-point discrimination (> 5 mm) in the thumb, index, and long finger. He is unable to oppose the thumb due to pain. There is a brisk capillary refill in all of his digits.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Left wrist open reduction internal fixation through volar and dorsal approach, repair of scapholunate ligament, and open carpal tunnel release.